Organization · NPI-2

Advanced Family Medicine Prof LLC

Family Medicine · Aurora, CO

NPI number1780909754
StatusActive
Last updated in NPPESMar 24, 2013

Details

NPI
1780909754
Entity type
Organization (NPI-2)
Legal business name
Advanced Family Medicine Prof LLC
Organization subpart
No
Enumeration date
Apr 2, 2010
Last updated
Mar 24, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine36222COYes

Practice location

1550 S Potomac St
Suite 235
Aurora, CO 80012-5455

Phone 720-222-5033 · Fax 303-223-3490

Mailing address

1550 S Potomac St
Suite 235
Aurora, CO 80012-5455

Authorized official

Sharon M Hansel
Owner/President
7207484000

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